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Organization

ANSON GENERAL HOSPITAL HOME HEALTH AGENCY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. TED D MATTHEWS (C.E.O.)
(325) 823-4110
Entity
Organization

Contact information

Practice address
110 AVENUE J, ANSON, TX 79501-2112
(325) 823-4110
(325) 823-2294
Mailing address
110 AVENUE J, ANSON, TX 79501-2112
(325) 823-4110
(325) 823-2294

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
001806
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
HH9350
BLUE CROSS PROVIDER NUMBE
TX
Enumeration date
01/23/2006
Last updated
08/22/2020
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